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[可吸收合成夹与肺切除术。我们的临床经验]

[Absorbable synthetic clips and pulmonary excision. Our clinical experience].

作者信息

Nguyen H, Nguyen H V, Barra J A, Raut Y, Castel-Dupont S

出版信息

J Chir (Paris). 1987 Feb;124(2):113-8.

PMID:3106364
Abstract

Analysis of the first 50 clinical cases confirmed conclusions of experimental studies in large animals with respect to the use of absorbable synthetic clips formed of lactomer and polydioxanone. The advantages of clips when compared with ligatures include rapidity and simplicity of use and ease of insertion, even in regions difficult to approach surgically with the fingers. The advantages of clips of the absorbable synthetic type over conventional metallic material are: safety and reliability due to their locking system and the conservation of sufficient residual resistance, improved behavior in biologic media, radio-transparency and total inertia in magnetic fields compatible with postoperative radiation and modern medical imaging procedures (CT scan, IRM), and finally progressive resorption predictable by simple hydrolysis and then total disappearance after 6 to 7 months. With staplers of the TA and GIA type these clips make sutures and ligatures during lung resection surgery entirely automatic.

摘要

对首批50例临床病例的分析证实了在大型动物实验研究中关于使用由聚乙交酯丙交酯和聚二氧六环酮制成的可吸收合成夹的结论。与结扎线相比,夹子的优点包括使用迅速简便,易于插入,即使在手指难以手术触及的区域也是如此。可吸收合成型夹子相对于传统金属材料的优点有:由于其锁定系统而具有安全性和可靠性,且保留足够的残余阻力;在生物介质中的性能更佳;具有射线可透性以及在与术后放疗和现代医学成像程序(CT扫描、磁共振成像)兼容的磁场中完全无磁性;最后,通过简单水解可预测其逐渐吸收,6至7个月后完全消失。使用TA型和GIA型吻合器,这些夹子可使肺切除手术中的缝合和结扎完全自动化。

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